Back Pain and Neurosurgery Spine Program

Overview

The Hoag Back Pain and Neurosurgery Spine Program specializes in the accurate diagnosis and treatment of neck and back disorders with personalized conservative care and, only when needed, the most advanced minimally invasive treatment options available. Our best practice care pathways include patient evaluations by primary care physicians, outpatient physical therapy, pain management specialists, and neurosurgical consultations when appropriate. Emphasizing personalized patient- centered care, Hoag’s multi-disciplinary team of spinal care experts strive to first utilize the latest conservative non-surgical therapies to alleviate pain and restore quality of life.

To deliver the most effective and efficient care possible, the Program creates an algorithm customized for each patient, be it physical therapy, pain management, surgery or a combination of all three. Each specialist supports the program’s principles of collaboration,comprehensive evaluation and conservative management.

When surgery is necessary, Hoag’s board-certified and/or fellowship-trained spine experts are among the nation’s top physicians in the field of minimally invasive spine surgery, consistently achieving superior patient outcomes that rival national figures. Our proportion of minimally invasive to traditional surgery has increased by 30% in 2014 to 40% in 2015 and 21% in 2016.

There are numerous benefits to minimally invasive versus traditional spine surgery as documented by our data spanning the past 12 months: 0% infection rate, 0% complication rate, 0% blood transfusion rate and 0% ICU stay. Our risk-adjusted laminectomy rate of infection is well below national average. Program quality is assured by ongoing collection and analysis of outcome data, a monthly Neurosciences Spine Case Conference, as well as preoperative and postoperative contact by a dedicated spine nurse navigator.

Team

The Spine Neurosurgery Program is led by Burak Ozgur, M.D. and includes Robert Louis, M.D., and William Dobkin, M.D. The nurse navigator for Spine is Julie Treat, M.S.N., R.N.

Clinical Research

“Clinical Development and Evaluation of Nociscan TM Diagnostic Software Suite for Post-processing MRI and MR Spectroscopy (MRS) of Lumbar Intervertebral Discs to Diagnose Disc Pain and Degeneration”; Burak Ozgur, MD, Co-Investigator.

Publications, Lectures, & Book Chapters

PUBLISHED BOOK

1. Ozgur, B.M., Benzel, E., Garfin, S. (eds.) “MinimallyInvasive Spine Surgery, A Practical Guide to the Anatomy and Techniques”, Springer, 2009

BOOK CHAPTERS

1. Yuan, P.S., Smith, H.E., Vaccaro, A.R., Ozgur, B.M., Taylor, W.R., “Triad Open and MaXcess Minimal Access Transforaminal Lumbar Interbody Fusion (TLIF)”, Kim, Vaccaro, Fessler (eds): Spine Instrumentation: Surgical Techniques. Thieme, 10381049 (2005)


2. Ozgur, B.M., Levy, D.I., “Management of Arteriovenous Malformations Using Liquid Agents”, Horowitz, M.B., Levy, E.I. (eds): Neuroendovascular Surgery. Prog Neurol Surg. Basel, Karger, vol 17, 148-159 (2005)


3. Ozgur, B., Khoo, L., Levy, M.L., “Pediatric Intracerebral Aneurysms”, Albright, A.L., Pollack, I.F., Adelson, P.D. (eds):Principles and Practice of Pediatric Neurosurgery, 2nd edition. Thieme (Jan. 2007)


4. Cohen, S.R., Mittermiller, P.A., Meltzer, H.S., Levy, M.L., Broder, K.W., Ozgur, B.M., “Nonsyndromic Craniosynostosis: Current Treatment Options”, Thaller, S., Garri, J., Bradley, J. (eds): Craniofacial Surgery. Informa Healthcare 83-102 (2008).


5. Ozgur, B. “General Introduction and Principles of Minimally Invasive Spine Surgery”, Ozgur, B., Benzel, E., Garfin, S. (eds.): Minimally-Invasive Spine Surgery, A Practical Guide to the Anatomy and Techniques. Springer, 1-6 (2009).


6. Ozgur, B., Berta S., Nguyen, A. “Discectomy and Laminectomy”, Ozgur, B., Benzel, E., Garfin, S. (eds.): Minimally-Invasive Spine Surgery, A Practical Guide to the Anatomy and Techniques. Springer, 115-120 (2009).


7. Ozgur, B., Baird, L. “Combining Minimally Invasive Techniques for Treating Multilevel Disease as Well as Adult Degenerative Scoliosis”, Ozgur, B., Benzel, E., Garfin, S. (eds.): Minimally-Invasive Spine Surgery, A Practical Guide to the Anatomy and Techniques. Springer, 121-128 (2009).


8. Ozgur, B., Berta, S., Hughes, S. “Transforaminal Lumbar Interbody Fusion (TLIF)”, Ozgur, B., Benzel, E., Garfin, S. (eds.): Minimally-Invasive Spine Surgery, A Practical Guide to the Anatomy and Techniques. Springer, 129-134 (2009).


9. Ozgur, B., Baird, L. “Lateral Approach for Anterior Lumbar Interbody Fusion (XLIF and DLIF)”, Ozgur, B., Benzel, E., Garfin, S. (eds.): Minimally-Invasive Spine Surgery, A Practical Guide to the Anatomy and Techniques. Springer, 135-142 (2009).

PUBLISHED (PEER REVIEWED)

1. Ozgur, B.M., Agarwal, V., Nail, E., Pimenta, L., “Two-year clinical and radiographic success of minimally invasive lateral transpsoas approach for the treatment of degenerative lumbar conditions”, SAS Journal, 4:41-46 (2010)


2. Drazin, D., Shirzadi, A., Hanna, G., Jeswani, S., Ozgur B., “Epidural hematoma and surgical evacuation from a bean bag weapon.” Am Surg., 78(1):E33-5. (Jan. 2012)

INVITED LECTURES AND PRESENTATIONS

1. Ozgur B, “The Role of Minimally-Invasive Spine Surgery”, March 12, 2011. 2011 Hoag Neurosciences Symposium. Newport Beach, CA.


2. Ozgur B, “Minimally Invasive and Other Advances in Spine Surgery”, June 17, 2011. MERC Educational Training Program: Aging Spine. Los Angeles, CA.


3. Ozgur B, “Risks, Pitfalls, and Complications of the Lateral Lumbar Approach”, June 17, 2011. MERC Educational Training Program: Aging Spine. Los Angeles, CA.


4. Ozgur B, “Advanced Cervical Spine Treatment Options”, April 21, 2012. Chiropractic Sports Medicine Program, lecture. Newport Beach, CA.


5. Ozgur B, “Minimally Invasive Spine Surgery and Other Advances”, June 12, 2012. Hoag Hospital Community Lecture Series. Newport Beach, CA.


6. Ozgur B, “AxiaLIF Procedure”, June 22, 2012. Trans1 Fellow’s Training Course/Lab. Las Vegas, NV.


7. Ozgur B, “Minimally Invasive Spine Surgery and Other Advances”, November 28, 2012. Hoag Hospital Community Lecture Series. Irvine, CA.


8. Ozgur B, “Minimally Invasive Spine Surgery”, February 11, 2013. Hoag Hospital Physical Therapy Department Lecture Series. Newport Beach, CA.


9. Ozgur B, “Minimally Invasive Spine Surgery and Other Advances”, November 13, 2013. Hoag Hospital Community Lecture Series. Newport Beach, CA.


10. Ozgur B, “Spine Surgery Advances and Updates”, November 15, 2013. 2013 Hoag Neuroscience Nursing Symposium. Newport Beach, CA.


11. Ozgur B, “TLIF Surgery and Techniques”, November 16, 2013. Globus/MERC Cadaver Course. San Diego, CA.


12. Ozgur B, “Latest Treatment Options for Back Pain”, March 5, 2014. Hoag Hospital Community Lecture Series. Newport Beach, CA.


13. Ozgur B, “Spine: The Comprehensive Approach”, March 29, 2014. 2014 Hoag Neuroscience Symposium. Newport Beach, CA

14. Ozgur B, “InFill Lateral System: a novel technique for optimizing graft filling and endplate contact in lumbar interbody fusion surgery”, April 11, 2014. World Congress of WFMISS. Istanbul, Turkey.


15. Ozgur B, “Latest Advances and Minimally Invasive Spine Surgery”, March 27, 2015. 2015 Hoag Neuroscience Symposium. Newport Beach, CA.

16. Ozgur B, “The Cutting-Edge of Spine Care: Building a Multidisciplinary Program from Hoag Neurosurgery Spine”, June 12, 2015. Chicago, Illinois.